KELLEN YEONSU NA (NPI# 1578182606) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578182606 |
| Entity Type | Individual |
| Full Name | KELLEN YEONSU NA |
| Credential | MD |
| Practice Address |
7601 Hospital Dr Ste 103 Sacramento CA 95823-5408 |
| Practice Telephone | 9166811600 |
| Mailing Telephone | 9166811600 |
| Enumeration Date | 2020-04-09 |
| Last Update Date | 2020-04-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
7601 HOSPITAL DR STE 103 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95823-5408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972577286 | Melissa Susan Gerdes | Family Medicine | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2006-02-14 |
| 1568081693 | Tristan Richard Boyer | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2020-04-09 |
| 1245859271 | Victoria T. Charoonratana | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2020-04-09 |
| 1598384695 | Nancy Kim Wen | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2020-04-09 |
| 1225657414 | Christa Brown | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2020-04-08 |
| 1437715638 | Cory Scott Gregory | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2019-05-13 |
| 1689237174 | David Hubbard | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2019-04-19 |
| 1740743905 | Ashley Rubin | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2019-04-12 |
| 1588127344 | William Guthrie | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2019-04-09 |
| 1760966089 | Tyree Ozell Davie | Student in an Organized Health Care Education/Training Program | 7601 Hospital Dr Ste 103, Sacramento, CA 95823-5408 | 2018-09-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396343422 | Renee Yvonne Friesner | Registered Nurse | 6965 65th Street, Sacramento, CA 95823 | 2020-10-12 |
| 1790392165 | Amanda Moore | Technician | 6445 Village Center Dr, Building 7 Apt 101, Sacramento, CA 95823 | 2020-09-29 |
| 1114562766 | Daniel & Max, LLC | Optometrist | 4200 Florin Road, Suite C, Florin, CA 95823 | 2019-11-07 |
| 1396393823 | Lannon Hope Gustafson | Counselor | 8573 E Southgate Dr., Sacramento, CA 95823 | 2019-08-28 |
| 1932768280 | Sprenger Behavioral Medicine, Inc | Psychiatry & Neurology | 7601 Hospital Drive Suite 202, Suite 202, Sacramento, CA 95823 | 2019-06-11 |
| 1306316880 | Evin Johnson | Case Manager/Care Coordinator | 7000 Franklin Blvd Suite 625, Sacramento, CA 95823 | 2018-11-28 |
| 1902373095 | Alexandra L Bourcy | Family Medicine | 7275 E Southgate Dr Ste 204-206, Sacramento, CA 95823 | 2018-10-27 |
| 1891298923 | Nicholas Joseph Henderson | Behavior Technician | 6500 47th Street Apt#76, Sacramento, CA 95823 | 2018-03-15 |
| 1427567098 | Luz Maria Udave | Behavior Technician | 5435 Mack Rd Apt 87, Sacramento, CA 95823 | 2017-09-26 |
| 1417474743 | Elizabeth Smithers | Behavior Technician | 5545 Sky Parkway #202, Sacramento, CA 95823 | 2017-08-28 |
| Find all providers in zip 95823 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629676820 | Laraine K Koen | Student in an Organized Health Care Education/Training Program | 123 Brookshire Lane, Sacramento, CA 95820 | 2020-10-12 |
| 1811504533 | Joanna Ortega | Student in an Organized Health Care Education/Training Program | 3956 2nd Ave Unit C, Sacramento, CA 95817-3006 | 2020-09-27 |
| 1922615632 | Joshua Bloomstein | Student in an Organized Health Care Education/Training Program | 4610 X St # 6, Sacramento, CA 95817-2200 | 2020-09-26 |
| 1528674892 | Ariela Mascarinas | Student in an Organized Health Care Education/Training Program | 5131 Andrea Blvd Apt 27, Sacramento, CA 95842-2512 | 2020-09-21 |
| 1346855103 | Quintin Kuse | Student in an Organized Health Care Education/Training Program | 4610 X Street, Sacramento, Sacramento, CA 95817 | 2020-09-09 |
| 1053921569 | Asha Rachel Ellman-kassing | Student in an Organized Health Care Education/Training Program | 3053 Freeport Blvd # 427, Sacramento, CA 95818-4346 | 2020-08-10 |
| 1972113066 | Keely Rodriguez | Student in an Organized Health Care Education/Training Program | 18 Outer Banks Pl, Sacramento, CA 95835-2469 | 2020-08-04 |
| 1639788425 | Duy Nguyen | Student in an Organized Health Care Education/Training Program | 4101 Innovator Dr Apt 626, Sacramento, CA 95834-3861 | 2020-07-28 |
| 1023626314 | Veronica Gabriella Garcia Spandler | Student in an Organized Health Care Education/Training Program | 1510 16th St Apt 513, Sacramento, CA 95814-6041 | 2020-07-22 |
| 1235755620 | Hannah Greeley | Student in an Organized Health Care Education/Training Program | 4851 Kokomo Dr Apt 7523, Sacramento, CA 95835-1846 | 2020-06-22 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95823 |
Please comment or provide details below to improve the information on KELLEN YEONSU NA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.